Dedication

pp iii-iv

Contents

pp v-vi

List of figures and tables

pp vii-vii

Notes on contributors

pp viii-xii

Acknowledgements

pp xiii-xiii

Foreword

pp xiv-xv

Foreword: Trans ageing

pp xvi-xviii

Introduction: Trans ageing and care – a review of the terrain

pp 1-12

Part I - What do we know about older trans people’s lives and care needs? Messages from research

pp 13-14

1 - Trans and gender diverse ageing and the life course: what can evidence from quantitative studies tell us about how trans people age?

pp 15-40

2 - “I need to get on with it”: experiences of older trans people navigating healthcare

pp 41-54

Over to you

pp 55-58

Part II - Perspectives from practice: views, attitudes and practices of healthcare and welfare professionals

pp 59-60

3 - “You know what? I’m not agreeing”: older trans people’s experiences of navigating, building and refusing care

pp 61-76

4 - Not in the family: trans people’s experiences of family relationships and the implications for support in later life

pp 77-90

5 - “What happened to my body over the past decade?” Trans masculine ageing and embodiment in a cisgenderist and ageist society

pp 91-106

6 - Examining the views and attitudes of health and social care professionals towards older trans people: findings from the Trans Ageing and Care study

pp 107-119

7 - Professional preparedness for supporting older transgender adults when working in social services in Sweden

pp 120-133

8 - Gender-affirming surgery in later life: centring older adults’ perspectives to promote equitable access and person-centred surgical care

pp 134-151

9 - What is being done to support trans older people facing intimate and domestic abuse?

pp 152-172

Over to you

pp 173-176

Part III - Making care practices more inclusive: perspectives on improving care and support for trans people in later life

pp 177-178

10 - Trans history as cultural competence

pp 179-189

11 - Reframing gender neutrality in dementia care cultures

pp 190-203

12 - End-of-life care needs and considerations for older trans people

pp 204-214

Over to you

pp 215-220

Conclusion: Looking ahead for enabling trans-inclusive and affirming practice

pp 221-225

Index

pp 226-232